Imperial College London
Alternate

ProfessorMarie-ClaudeBoily

Faculty of Medicine, School of Public Health

Professor of Mathematical Epidemiology
 
 
 
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Contact

 

+44 (0)20 7594 3263mc.boily

 
 
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Location

 

LG26Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Elmes:2021:10.1136/sextrans-2021-055088,
author = {Elmes, J and Stuart, R and Grenfell, P and Walker, J and Hill, K and Hernandez, P and Henham, C and Rutsito, S and Sarker, MD and Creighton, S and Browne, C and Boily, M-C and Vickerman, P and Platt, L},
doi = {10.1136/sextrans-2021-055088},
journal = {Sexually Transmitted Infections},
pages = {323--331},
title = {Effect of police enforcement and extreme social inequalities on violence and mental health among women who sell sex: findings from a cohort study in London, UK},
url = {http://dx.doi.org/10.1136/sextrans-2021-055088},
volume = {98},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives To examine legal and social determinants of violence, anxiety/depression among sex workers.Methods A participatory prospective cohort study among women (inclusive of transgender) ≥18 years, selling sex in the last 3 months in London between 2018 and 2019. We used logistic generalised estimating equation models to measure associations between structural factors on recent (6 months) violence from clients or others (local residents, strangers), depression/anxiety (Patient Health Questionnaire-4).Results 197 sex workers were recruited (96% cisgender-women; 46% street-based; 54% off-street) and 60% completed a follow-up questionnaire. Street-based sex workers experienced greater inequalities compared with off-street in relation to recent violence from clients (73% vs 36%); police (42% vs 7%); intimate partner violence (IPV) (56% vs 18%) and others (67% vs 17%), as well as homelessness (65% vs 7%) and recent law enforcement (87% vs 9%). Prevalence of any STI was 17.5% (17/97). For street-based sex workers, recent arrest was associated with violence from others (adjusted OR (aOR) 2.77; 95% CI 1.11 to 6.94) and displacement by police was associated with client violence (aOR 4.35; 95% CI 1.36 to 13.90). Financial difficulties were also associated with client violence (aOR 4.66; 95% CI 1.64 to 13.24). Disability (aOR 3.85; 95% CI 1.49 to 9.95) and client violence (aOR 2.55; 95% CI 1.10 to 5.91) were associated with anxiety/depression. For off-street sex workers, financial difficulties (aOR 3.66; 95% CI 1.64 to 8.18), unstable residency (aOR 3.19; 95% CI 1.36 to 7.49), IPV (aOR 3.77; 95% CI 1.30 to 11.00) and alcohol/drug use were associated with client violence (aOR 3.16; 95% CI 1.26 to 7.92), while always screening and refusing clients was protective (aOR 0.36; 95% CI 0.15 to 0.87). Disability (aOR 5.83; 95% CI 2.34 to 14.51), unmet mental health needs (aOR 3.08; 95% CI 1.15 to 8.23) and past eviction (aOR 3.99; 95% CI 1.23 to 12.92) were associated with anxiet
AU  - Elmes,J
AU  - Stuart,R
AU  - Grenfell,P
AU  - Walker,J
AU  - Hill,K
AU  - Hernandez,P
AU  - Henham,C
AU  - Rutsito,S
AU  - Sarker,MD
AU  - Creighton,S
AU  - Browne,C
AU  - Boily,M-C
AU  - Vickerman,P
AU  - Platt,L
DO  - 10.1136/sextrans-2021-055088
EP  - 331
PY  - 2021///
SN  - 1368-4973
SP  - 323
TI  - Effect of police enforcement and extreme social inequalities on violence and mental health among women who sell sex: findings from a cohort study in London, UK
T2  - Sexually Transmitted Infections
UR  - http://dx.doi.org/10.1136/sextrans-2021-055088
UR  - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000726532200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
UR  - https://sti.bmj.com/content/98/5/323
UR  - http://hdl.handle.net/10044/1/104348
VL  - 98
ER  -
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